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My blood levels?

Answered on August 19, 2014
Created September 03, 2011 at 7:29 AM

I've been doing a fairly strict Primal/Paleo/LCHF for about 9 months. I am a big guy weighing about 320, (lost about 25 lbs right away and then stopped losing. I feel good, wish I was losing more weight. Here is the deal. I just got a new health plan (Kaiser) did a full blood panel and here are my results:

Fasting Glucose 108

CHOLESTEROL 268

TRIGLYCERIDE 146

HDL 43

LDL CALCULATED 196

CHOLESTEROL/HIGH DENSITY LIPOPROTEIN 6.2

TSH 1.65

HGBA1C 5.6

VITAMIN D, 25-HYDROXY 87

VITAMIN D, 25-HYDROXY, D3 87

VITAMIN D, 25-HYDROXY, D2 <4

BUN 17

SODIUM 140.0

POTASSIUM 4.3

CHLORIDE 100.0

CO2 30.0

ALT 28

My new Dr seems very robotic and old school. His nurse left me a vm today suggesting I cut back on sugar (what sugar?!?), fat, and start on simvistatin(sp) 40mg day right away. I don't want to be on a statin. Are these numbers horrible? How do I convincingly talk to him about my numbers and diet choices on my next visit in October? Thanks, I really need your help.

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6 Answers

2
Cbefa424c2bb2c62eb660e1102f7bf62

on September 03, 2011
at 01:31 PM

You need either a VAP or an NMR lipoprophile for a better indication of your lipid profile. Statins do not prevent heart disease, avoid them. Dependent upon your age you should consider a heartscan to see if any disease has started.

You are in control, not your doc. Thank him for his true concern but advocate for yourself.


1
9e20abb05f3f6e3cc4bb107f8980aecd

on September 03, 2011
at 02:10 PM

No, your numbers are not horrible. TC of 268 is not far from the minimal mortality range of 200 to 260. It would have been considered normal 40 years ago. It is certainly no reason to go on statins.

Your vitamin D levels (if they are in ng/dl, not nmol/l) are too high, you should cut back on supplements. If the numbers are nmol/l then they are slightly on the low side, 40-50 ng/ml = 100-125 nmol/l is a good target range.

Your anion gap (http://en.wikipedia.org/wiki/Anion_gap) is high, which probably means you aren't eating enough plant foods.

Nothing else jumps out at me from these numbers.

0
5eadf26000d52eb6a56b0c15687fc4a8

on September 03, 2011
at 06:02 PM

Hi Guys, thanks for your help. I would say I'm more LC than VLC. When I got out of the Navy in ’84, I was 220 with 6% body fat. Had a very physically demanding job. One of the appeals of this diet lifestyle was the fact that you didnt have to count calories. I work long days in an office setting. I get in 2-3 short intense and heavy interval workouts with Kettlebells, ropes, pushups, sit ups, etc. Once or twice a month I grapple for an hour or more in Brazilian Jiu jitsu. I am 6’3″, and very strong, (can snatch a 97lb kettlebell from the ground), but I hate being fat. Anything else I should be doing?

0
C56baa1b4f39839c018180bf63226f7d

on September 03, 2011
at 04:12 PM

Are you using any nonnutritive sweeteners? (Stevia, sucralose, saccharin, etc.) I found that consuming these things caused insulin release and interfered with weight loss.

Also your A1C is above 5.5, which is the lower bound for abnormal. It trends down very slowly, though, so keep on track with the LC and you should still be able to lower it. This can then make a difference in your weight loss since it indicates better insulin sensitivity.

You didn't say whether your LC target was just LC (<60g/day) or VLC (<20g/day). Based on your description I'm assuming the second, but if your LC is the more relaxed type, shooting for the latter target can make a difference.

Finally, try adding IF into your regimen, and especially training while fasted. 18-24 hours with no calories consumed (that includes sleep time), 2 or more times per week (I do 3).

0
D3ff004d4a0c42b67cc2c49a5ee9c0f3

(5801)

on September 03, 2011
at 12:28 PM

Among other things that I am sure others will address, you need to walk every day, sprint once in a while, and lift weights to build muscle.

0
E532db32a9aa9c1b37fda35d1c72c074

(220)

on September 03, 2011
at 11:13 AM

Your goal LDL and total cholesterol levels are based on a number of factors including age, sex, blood pressure, etc. Here is a link to a website where you can calculate your LDL goal: http://www.mcw.edu/calculators/LDLCholesterolGoalLevel.htm

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